Account Closure Form

Customer Name:
Reason for closing account: / No longer necessary / Other:

Account Number to be closed (Please fill out separate form if the accounts are in different currencies)
1. / 2.
3. / 4.
5. / 6.
I/We hereby authorize you to close the account(s) listed above at your institutioneffective as of this date
/ (mm/dd/yyyy). Please distribute any remaining funds to one of following:
1. Transfer the remaining balance to other “CMBNY” account number
account name
2. Send me a Bank check for the remaining balance to the mailing address on record.
3. Wire Transfer the remaining amount to another bank (Please fill out following payment instructions).
Beneficiary/Recipient Information(This is the ultimate recipient of the wire transfer funds)
*Beneficiary/Recipient Name: / Beneficiary Phone Number:
*Beneficiary Account Number (International Bank Account Number (IBAN) where applicable):
Beneficiary Address, City, State, Zip Code & Country / Information for the Beneficiary:
Beneficiary Bank Information(This is the financial institution where the beneficiary maintains their account.)
*Beneficiary Bank: Routing No. or SWIFT Bank Identifier Code (SWIFT BIC) / International Routing Code:
*Beneficiary Bank Name: / Beneficiary Bank Account No In the Intermediary Bank
*Beneficiary Bank Address, City State, Zip Code & Country:
Information for Beneficiary Bank: / For Further Credit to: (Optional Field)
Special Instructions: (Optional )
Intermediary Bank Information (This is a financial institution that the wire must pass through before reading the final beneficiary bank.) This section is optional and not required for all wires.
Please note that routing may be altered depending on China Merchants Bank correspondent relationships.
Optional: Intermediary Beneficiary Bank RTN or SWIFT BIC / International Routing Code
Intermediary Bank Name:
Intermediary Bank Address, City State, Zip Code & Country / Information for Intermediary Bank
Customer Signature: / Date:
Customer Signature: / Date:
Customer Signature: / Date:
Customer Signature: / Date:

We may either return deposits, checks and other items that we receive after your account is closed or we may reopen the account and accept a deposit or debit for you, even if doing so overdraws your account, without being liable to you. You agree to immediately payall amounts you owe us.

Bank use only
In Person Email Mail
Call Back If the Form is received by Email
Customer signature(s) verified by:

Caller: / Spoke To: / TimeDate:
Signatures of bank officials:
Name: / Signature: / Date:
Name: / Signature: / Date:
Name: / Signature: / Date:
Account to be debited: / Currency : USD, CNY, HKDOther:
Amount to be debited:
Applicable only if option 3 is selected : Credit less Charge Waived fee
Account Closure Processed by:
X / Date: / Comment:
Account Closure Verified by:
X / Date: / Comment:

*Required field

Please refer to Schedule of Fees for disbursement by Bank Check or Wire transfer

If you choose to send us this application electronically, please email to in PDF version.

BK022062015